Healthcare Provider Details

I. General information

NPI: 1730050170
Provider Name (Legal Business Name): AMORIS HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 MATHY DR STE 355
FAIRFAX VA
22031-5335
US

IV. Provider business mailing address

9401 MATHY DR STE 355
FAIRFAX VA
22031-5335
US

V. Phone/Fax

Practice location:
  • Phone: 480-335-1663
  • Fax: 703-866-8302
Mailing address:
  • Phone: 480-335-1663
  • Fax: 703-866-8302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE M BATUPE
Title or Position: PRESIDENT
Credential: RN
Phone: 480-335-1663